Accomplished Technical Expert at the Social Security Administration, adept in IT infrastructure management and renowned for exceptional customer support. Mentored new hires, spearheaded Continuing Disability Reviews, and enhanced service efficiency. Expertise in big data analytics contributed to processing accuracy and decision-making, achieving goals with diligence and a focus on quality outcomes.
Overview
19
19
years of professional experience
Work History
Technical Expert
Social Security Admistration
05.2022 - Current
Worked productively in fast-moving work environment to process large volumes of claims.
Followed up with customers on unresolved issues.
Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
Maintained compliance with industry regulations by adhering to established procedures and guidelines in claims handling.
Achieved high levels of accuracy in claim assessment, minimizing company's exposure to risk.
Analyzed claim trends to anticipate potential issues and proactively adjust processing strategies.
Conducted detailed investigations into suspicious claims, reducing instances of fraud.
Facilitated inter-departmental workshops to improve understanding of claims process and its impact on customer satisfaction.
Reviewed and updated claim processing guidelines, ensuring alignment with industry standards.
Improved team productivity by conducting regular training sessions on best practices in claim handling.
Provided exceptional customer service, addressing concerns and resolving issues promptly.
Trained new Claims Representatives on company policies, procedures, and software systems, improving overall team productivity.
Served as a subject matter expert on specialized claims, providing guidance and support to other team members when needed.
Collaborated with internal departments and external vendors to resolve claims.
Conducted detailed assessments of claims documents, ensuring accuracy and completeness before submission for approval.
Collaborated with cross-functional teams to expedite complex claims investigations and resolutions.
Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
Developed strong relationships with clients, facilitating trust and open communication during the claims process.
Claims Representative
Social Security Administration, SSA
09.2005 - 05.2022
Worked productively in fast-moving work environment to process large volumes of claims.
Followed up with customers on unresolved issues.
Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
Maintained compliance with industry regulations by adhering to established procedures and guidelines in claims handling.
Achieved high levels of accuracy in claim assessment, minimizing company's exposure to risk.
Analyzed claim trends to anticipate potential issues and proactively adjust processing strategies.
Conducted detailed investigations into suspicious claims, reducing instances of fraud.
Facilitated inter-departmental workshops to improve understanding of claims process and its impact on customer satisfaction.
Reviewed and updated claim processing guidelines, ensuring alignment with industry standards.
Improved team productivity by conducting regular training sessions on best practices in claim handling.
Provided exceptional customer service, addressing concerns and resolving issues promptly.
Trained new Claims Representatives on company policies, procedures, and software systems, improving overall team productivity.
Served as a subject matter expert on specialized claims, providing guidance and support to other team members when needed.
Collaborated with internal departments and external vendors to resolve claims.
Conducted detailed assessments of claims documents, ensuring accuracy and completeness before submission for approval.
Collaborated with cross-functional teams to expedite complex claims investigations and resolutions.
Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
Developed strong relationships with clients, facilitating trust and open communication during the claims process.
Education
HS Diploma -
Highland High School
Palmdale
06.1999
Skills
IT infrastructure management
Customer support
Training and mentoring
Big data analytics
Timeline
Technical Expert
Social Security Admistration
05.2022 - Current
Claims Representative
Social Security Administration, SSA
09.2005 - 05.2022
HS Diploma -
Highland High School
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